Dr Kenneth Lee Mcdonough, MD is a
Family Medicine physician based in Slayton, Minnesota. Dr Kenneth Lee Mcdonough is licensed to practice in Minnesota (license number 26423) and his current practice location is 2042 Juniper Ave, Slayton, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 836-6111.
NPI number for Dr Kenneth Lee Mcdonough is 1497023246 and his current mailing address is 2042 Juniper Ave, Slayton, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497023246.
Physician's Profile
| Full Name | Dr Kenneth Lee Mcdonough |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2042 Juniper Ave, Slayton, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497023246
- Provider Enumeration Date: 12/08/2011
- Last Update Date: 09/24/2018
Medical Identifiers
Medical identifiers for Dr Kenneth Lee Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497023246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 26423 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 26423 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Lee Mcdonough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kenneth Lee Mcdonough, MD
2042 Juniper Ave,
Slayton, MN 56172-1017
Ph: (302) 824-1458 | Dr Kenneth Lee Mcdonough, MD
2042 Juniper Ave,
Slayton, MN 56172-1017
Ph: (507) 836-6111 |
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